中华老年多器官疾病杂志
中華老年多器官疾病雜誌
중화노년다기관질병잡지
CHINESE JOURNAL OF MULTIPLE ORGAN DISEASES IN THE ELDERLY
2014年
8期
591-594
,共4页
心肌梗死%老年人%经皮冠状动脉介入治疗%回顾性研究
心肌梗死%老年人%經皮冠狀動脈介入治療%迴顧性研究
심기경사%노년인%경피관상동맥개입치료%회고성연구
myocardial infarction%aged%percutaneous coronary intervention%retrospective studies
目的：评价高龄急性心肌梗死患者行冠状动脉介入治疗（PCI）的安全性和有效性。方法回顾性地分析西安交通大学医学院第一附属医院近5年来高龄（≥80岁）急性心肌梗死病例78例。其中PCI治疗40例，药物保守治疗38例，对比分析两组患者的基础临床资料、住院期间临床疗效以及PCI术后6个月的随访结果。结果与药物保守治疗组相比，PCI治疗组住院期间心肌梗死症状缓解率明显提高（52.63%vs 75.00%，P＜0.05），心力衰竭发生率明显降低（39.47%vs 15.00%，P＜0.05）。出院后6个月内再次心绞痛（42.86%vs 18.42%）和心肌梗死（22.86%vs 5.26%）的发生率均显著降低（P＜0.05），再次心血管事件和猝死的发生率也有一定下降（25.71%vs 10.52%，P＝0.09）。结论 PCI治疗可以改善高龄急性心肌梗死患者的临床症状和预后，从而进一步提高患者生存质量。由此可见，高龄急性心肌梗死患者的 PCI治疗是安全可行和有效的。
目的：評價高齡急性心肌梗死患者行冠狀動脈介入治療（PCI）的安全性和有效性。方法迴顧性地分析西安交通大學醫學院第一附屬醫院近5年來高齡（≥80歲）急性心肌梗死病例78例。其中PCI治療40例，藥物保守治療38例，對比分析兩組患者的基礎臨床資料、住院期間臨床療效以及PCI術後6箇月的隨訪結果。結果與藥物保守治療組相比，PCI治療組住院期間心肌梗死癥狀緩解率明顯提高（52.63%vs 75.00%，P＜0.05），心力衰竭髮生率明顯降低（39.47%vs 15.00%，P＜0.05）。齣院後6箇月內再次心絞痛（42.86%vs 18.42%）和心肌梗死（22.86%vs 5.26%）的髮生率均顯著降低（P＜0.05），再次心血管事件和猝死的髮生率也有一定下降（25.71%vs 10.52%，P＝0.09）。結論 PCI治療可以改善高齡急性心肌梗死患者的臨床癥狀和預後，從而進一步提高患者生存質量。由此可見，高齡急性心肌梗死患者的 PCI治療是安全可行和有效的。
목적：평개고령급성심기경사환자행관상동맥개입치료（PCI）적안전성화유효성。방법회고성지분석서안교통대학의학원제일부속의원근5년래고령（≥80세）급성심기경사병례78례。기중PCI치료40례，약물보수치료38례，대비분석량조환자적기출림상자료、주원기간림상료효이급PCI술후6개월적수방결과。결과여약물보수치료조상비，PCI치료조주원기간심기경사증상완해솔명현제고（52.63%vs 75.00%，P＜0.05），심력쇠갈발생솔명현강저（39.47%vs 15.00%，P＜0.05）。출원후6개월내재차심교통（42.86%vs 18.42%）화심기경사（22.86%vs 5.26%）적발생솔균현저강저（P＜0.05），재차심혈관사건화졸사적발생솔야유일정하강（25.71%vs 10.52%，P＝0.09）。결론 PCI치료가이개선고령급성심기경사환자적림상증상화예후，종이진일보제고환자생존질량。유차가견，고령급성심기경사환자적 PCI치료시안전가행화유효적。
ObjectiveTo estimate the efficacy and safety of percutaneous coronary intervention (PCI) on thevery old patients with acute myocardial infarction (AMI).Methods A retrospective analysis was carried out on 78very old patients (≥80 years old) withAMI in our hospital in recent 5 years. Ofthem, 40 patientsunderwentPCI therapy and 38 patients receivedconservative drug treatment. The general clinical data,andclinical therapy efficacy during hospitalization andin6 monthsoffollow-up werecollected and analyzed in 2 groups. Results Compared with the conservative drug treatment group, the relief rate of myocardial infarction symptoms was significantly increased (52.63%vs 75.00%,P<0.05) and the incidence of heart failure during hospitalization was significantly decreased (39.47%vs 15.00%,P<0.05) in PCI group. Moreover, the incidence of recurrence angina(42.86%vs 18.42%)and myocardial infarction (22.86%vs 5.26%) in 6 months after discharge were significantly decreased (P<0.05), and cardiovascular events and sudden death were also reduced inPCI group compared with conservative drug treatment group (25.71%vs 10.52%,P=0.09).Conclusion PCI therapygreatlyimproves the clinical symptoms and prognosis, and the quality of life inthevery old patients withAMI. Therefore, PCI is a safe and effective treatment for thevery old patients withAMI.
